Pre-Certification Business and Project Analyst
About The Position
Join Our Team at Oklahoma Heart Hospital (OHH) ONE TEAM. ALL HEART. At OHH, we believe that patient care is truly at the heart of everything we do. Our dedicated team members are involved in every step of our patients’ journeys, bringing hope, compassion, and healing to both patients and their families. Together with our physicians and caregivers, we’re shaping the future of heart care in Oklahoma by serving the state and leading the nation. Why You'll Love Working Here: Comprehensive Benefits: Medical, Dental, and Vision coverage 401(k) plan with employer match Long-term and short-term disability Employee Assistance Programs (EAP) Paid Time Off (PTO) Extended Medical Benefits (EMB) Opportunities for continuing education and professional growth Please note that benefits may vary by position, and some roles (like PRN, Flex, Float, etc.) may have exclusions. For eligible positions, benefits start on your first day! We can’t wait for you to join our heart-centered team!
Requirements
- Education: High school diploma or equivalent required
- Experience: Three (3) to five (5) years of experience in a medical setting.
- Working Knowledge: Medical terminology and medical insurance knowledge required.
- Must be proficient on a personal computer and have experience with Microsoft Office including Excel and Word.
Nice To Haves
- Preferred some college
- Previous precertification experience preferred.
- Knowledge of EPIC scheduling, pre-cert/authorizations, and registration systems preferred.
Responsibilities
- The Business and Project Analyst Reports to the Pre-Arrival Services Director and is responsible for guiding processes, improvement projects, and ensuring optimization of productivity in Pre-Arrival Services by doing in-dept analysis of authorization trends, oversee payor policy and procedure changes within pre-certification department, as well as communicate and validate requirements for authorization changes.
- Responsible for ensuring efficiency of pre-certification processes.
- Serve as a liaison between patient and medical support staff.
- Develop project plans and manage all implemented processes.
- Assessing skills and identifying training needs of authorization team members.
- Manage the overall coordination, status reporting, schedules, and stability of project-oriented work efforts, ensures that project goals and objectives are met within agreed upon time, and resource requirements for authorization.
Benefits
- Medical, Dental, and Vision coverage
- 401(k) plan with employer match
- Long-term and short-term disability
- Employee Assistance Programs (EAP)
- Paid Time Off (PTO)
- Extended Medical Benefits (EMB)
- Opportunities for continuing education and professional growth
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
